The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Science
The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
919. The specific matter secreted by the kidneys is that termed urea;
a substance of a resinous nature, highly animalized. One character by
which the animal is distinguished from the plant is its locomotion.
The organ by which the animal is rendered capable of performing the
function of locomotion is muscle or flesh. The basis of muscle is
fibrin, and the basis of fibrin azote. There must be in the animal
body an abundant supply of fibrin, and consequently a proportionate
abundance of azote. Azote is introduced into the system partly by the
food and partly by the lungs. That there may be a sufficiency for all
occasions, more is introduced than is necessary on ordinary occasions,
and a special outlet is established for the excess through the kidneys.
920. Organs appropriated to the removal of substances from the blood,
capable of becoming deleterious by their accumulation, generally in
a state of health perform their office so perfectly that the matters
which it is their part to excrete are eliminated almost as quickly
as they enter the blood, so that they are seldom present in the
circulating fluid in sufficient quantity to be detected by the most
delicate chemical tests. But by the removal of the excretory organ, or
by the suppression of its function, the excretory matter accumulates
in the blood, and is then readily detected. A decisive experiment
disclosed that this is the case with regard to urea. The kidneys were
removed from a living animal. The operation did not appear to be
productive of material injury for some time; but at length symptoms
denoting the presence of a poison in the blood arose, and the animal
died. The blood was carefully examined after death. It was found to
contain a much larger quantity than ordinary of the peculiar animal
substance which enters into the composition of the serosity of the
blood (225). On subjecting this substance to the action of various
re-agents, and also on reducing it to its ultimate elements, it was
found to resemble urea; to be, in fact, nearly identical with urea as
contained in the urine. From this experiment it became manifest that
the source of the urea is the serosity of the blood. It is probable
that the chief office of the kidney is to separate the urea from the
other ingredients of the blood, and to convey it to the organs which
are destined to carry it out of the body.
921. It is estimated that about a thousand ounces of blood pass through
the kidneys in the space of an hour; itself a sufficient indication
of the importance of the excretion performed by this organ, and an
adequate source of the matter actually excreted, although, under
ordinary circumstances, distributed through the circulating mass in
quantities so minute as to be almost inappreciable.
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